NPI 1679139919 · live from the CMS NPI Registry
Aba Squad INC
Community/Behavioral Health in Saint Louis, MO. National Provider Identifier 1679139919, active.
NPI record
| NPI | 1679139919 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 12747 Olive Blvd, Ste 300, Saint Louis, MO 63141 |
| Practice phone | 833-490-8535 |
| Mailing address | Po Box 347720, Coral Gables, FL 33234 |
| Enumerated | May 13, 2019 |
| Last updated | April 6, 2023 |
| Authorized official | Janet Vasquez, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Community/Behavioral Health primary | 251S00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.